Individual
LIANNI MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1120 15TH ST # AD2254, AUGUSTA, GA 30912-0004
(706) 446-1251
Mailing address
4424 ROXBURY DR, EVANS, GA 30809-3252
(770) 656-6367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005424
GA
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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